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Suggest treatment for high sugar levels

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Posted on Wed, 22 Oct 2014
Question: I am 44 years old my body weight is 67 Kg, height is 167 cm. Recently two days ago my blood sugar level was checked and it was Fasting-354 mg/dl and PP-490 mg/dl. LFT test report is given as Serum Bilirubin-1.15 mg/dl, SGOT-44.4 U/L, SGPT-63.8 U/L and Al. Phosphatase-213 U/L I never took any medicine for blood sugar. Kindly advise me the best treatment for high blood sugar.
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Answered by Dr. Nishad BN (1 hour later)
Brief Answer:
High blood sugar and Liver function changes.

Detailed Answer:
Hi
Thank you for asking Health care magic forum.
I have gone through your query.Your sugar level fasting and post prandial is very high which indicates diabetes.Have you tested sugar levels recently?.A HbA1c level also should be checked which will give you impression about last 3 months sugar level.
You bilirubin level and alkaline phosphatase levels are increased and SGPT is slightly elevated.so a mild bile stasis can be suspected like bile stones or parasitic infestation.An Ultrasound abdomen should be carried out to rule out that.

You should start treatment for diabetes.Initially can be started with metformin and DPP4 inhibitors like sitagliptin.
Hope this may help you.Let me know if anything unclear.
Thanks
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5334 Questions

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Suggest treatment for high sugar levels

Brief Answer: High blood sugar and Liver function changes. Detailed Answer: Hi Thank you for asking Health care magic forum. I have gone through your query.Your sugar level fasting and post prandial is very high which indicates diabetes.Have you tested sugar levels recently?.A HbA1c level also should be checked which will give you impression about last 3 months sugar level. You bilirubin level and alkaline phosphatase levels are increased and SGPT is slightly elevated.so a mild bile stasis can be suspected like bile stones or parasitic infestation.An Ultrasound abdomen should be carried out to rule out that. You should start treatment for diabetes.Initially can be started with metformin and DPP4 inhibitors like sitagliptin. Hope this may help you.Let me know if anything unclear. Thanks